Eddson Mendez

gastroenterologo

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

26-year-old woman. Year of heartburn, chest pain, palpitations, and a meal-linked cascade to presyncope. EKG and echo negative. Large hernia, reflux esophagitis, IEM, pathologic pH. Roemheld: GI driver, cardiac-like symptoms, exclusion diagnosis.

[Liver & Digestive Diseases Clinic @lddcmumbai]

CT pancreas protocol — from fundamentals to real clinical cases 🧠📊

Perfect for radiologists, trainees & clinicians.

🔗 https://t.co/aMJxL7ichA

[Dr. Santiago Blanco Rey, MD, MSc @SantiBlancoRey]

¿Salino, agentes viscosos o dispositivos asistidos? 💉🔍
Esta actualización de práctica clínica de la @AmerGastroAssoc analiza los agentes de elevación submucosa para optimizar procedimientos de resección como EMR y ESD en el tracto gastrointestinal.

🔗 https://t.co/Y3VUKwo5Ep

#Endoscopia #Gastroenterología #EMR #ESD

[Sufyan Maan, M.Eng @sufyanmaan]

PAID VERSION → FREE ALTERNATIVE

1. ChatGPT Plus → Google Gemini
2. Netflix Premium → Tubi
3. Spotify Premium → SoundCloud
4. YouTube Premium → NewPipe
5. Canva Pro → Adobe Express
6. Microsoft 365 → LibreOffice
7. Adobe Photoshop → GIMP
8. Figma Pro → Penpot
9. Adobe Premiere Pro → DaVinci Resolve
10. Grammarly Premium → LanguageTool
11. Midjourney → Microsoft Designer
12. Notion AI → Obsidian
13. Claude Pro → Google Gemini
14. Adobe Illustrator → Inkscape
15. Zoom Pro → Google Meet
16. Slack Pro → Discord
17. Dropbox → Google Drive
18. Adobe Acrobat Pro → PDFgear
19. GitHub Copilot → Codeium
20. CapCut Pro → DaVinci Resolve
21. After Effects → Blender
22. Microsoft Visio → draw io
23. 1Password → Bitwarden
24. LastPass Premium → Bitwarden
25. Webflow → Framer
26. Trello Premium → ClickUp
27. Calendly Premium → Cal. com
28. Audible → LibriVox
29. Amazon Prime Video → Pluto TV
30. Disney+ → Tubi
31. Apple TV+ → Pluto TV
32. Xbox Game Pass → Epic Games Store
33. Final Cut Pro → DaVinci Resolve
34. Adobe Lightroom → Darktable
35. Loom → OBS Studio
36. Typeform → Google Forms
37. Mailchimp Premium → Brevo
38. Zapier → Make
39. Miro → FigJam
40. Google Workspace → Zoho Workplace
41. Perplexity Pro → You com
42. Cursor Pro → Continue
43. Evernote → Joplin
44. Todoist Pro → Microsoft To Do
45. NordVPN → Proton VPN
46. ExpressVPN → Windscribe
47. AutoCAD → FreeCAD
48. Salesforce → HubSpot
49. Shopify → WooCommerce
50. Jira Premium → Plane

AI + CREATOR TOOLS

51. Jasper AI → Writesonic
52. Synthesia → HeyGen
53. ElevenLabs → TTSMaker
54. Murf AI → TTSMaker
55. Runway → Kling AI
56. Pika → Luma Dream Machine
57. Leonardo AI → Playground AI
58. DALL·E → Craiyon
59. Ideogram → Microsoft Designer
60. Gamma → Google Slides
61. Beautiful ai → Google Slides
62. Tome → Google Slides
63. Otter ai Pro → Notta
64. Fireflies ai → Fathom
65. Krisp Pro → NVIDIA Broadcast
66. Descript → Audacity
67. Riverside → OBS Studio
68. VEED Pro → CapCut
69. InVideo Pro → CapCut
70. Camtasia → OBS Studio
71. ScreenFlow → OBS Studio
72. Snagit → ShareX
73. Screen Studio → OBS Studio
74. QuillBot Premium → LanguageTool
75. Hemingway Editor Plus → LanguageTool
76. Freepik Premium → unDraw
77. Envato Elements → Mixkit
78. Shutterstock → Unsplash
79. Adobe Stock → Pexels
80. Epidemic Sound → Pixabay Music
81. Artlist → Free Music Archive
82. Flaticon Premium → SVG Repo
83. Icons8 Pro → Lucide
84. Font Awesome Pro → Heroicons
85. Adobe Fonts → Google Fonts
86. Sketch → Penpot
87. Affinity Photo → GIMP
88. Affinity Designer → Inkscape
89. CorelDRAW → Inkscape
90. Adobe InDesign → Scribus
91. Affinity Publisher → Scribus
92. Adobe XD → Penpot
93. Cinema 4D → Blender
94. Autodesk Maya → Blender
95. Autodesk 3ds Max → Blender
96. ZBrush → Blender
97. Substance 3D Painter → ArmorPaint
98. Pro Tools → Audacity
99. FL Studio → LMMS
100. Ableton Live → LMMS
101. Logic Pro → GarageBand
102. Adobe Audition → Audacity
103. Motion → Blender
104. DaVinci Resolve Studio → Kdenlive
105. Final Cut Pro → Shotcut

MARKETING + BUSINESS

106. Semrush → Ubersuggest
107. Ahrefs → Google Search Console
108. Moz Pro → Google Search Console
109. Surfer SEO → Google Keyword Planner
110. Similarweb → Google Trends
111. BuzzSumo → Google Trends
112. Hotjar Pro → Microsoft Clarity
113. Hootsuite → Buffer
114. Sprout Social → Metricool
115. Later → Buffer
116. SocialBee → Buffer
117. ConvertKit → Substack
118. Beehiiv → Substack
119. HubSpot Marketing Hub → Mautic
120. Intercom → Tawk to
121. Zendesk → Zammad
122. Freshdesk → Zammad
123. DocuSign → SignWell
124. PandaDoc → Jotform
125. SurveyMonkey → Google Forms
126. Airtable → Baserow
127. Asana Premium → OpenProject
128. Monday com → Taiga
129. ClickUp → OpenProject
130. Microsoft Project → ProjectLibre
131. QuickBooks Online → Wave
132. FreshBooks → Wave
133. Xero → Wave
134. Dropbox Sign → SignWell
135. Nitro PDF Pro → PDF24
136. Smallpdf Pro → PDF24
137. CamScanner Premium → Microsoft Lens
138. TeamViewer → RustDesk
139. AnyDesk → RustDesk
140. Dashlane Premium → Bitwarden
141. NordPass Premium → Bitwarden
142. Squarespace → WordPress
143. Wix Premium → WordPress
144. BigCommerce → WooCommerce
145. Elementor Pro → Brizy
146. Divi → Brizy
147. WP Rocket → LiteSpeed Cache
148. Yoast SEO Premium → Rank Math
149. Rank Math Pro → The SEO Framework
150. WPForms Pro → Forminator
151. Gravity Forms → Forminator
152. MemberPress → Paid Memberships Pro
153. Google One → Proton Drive
154. Microsoft OneDrive → MEGA
155. Microsoft Teams → Jitsi Meet

DEVELOPER + TECH

156. Replit Core → StackBlitz
157. Postman Pro → Insomnia
158. Docker Desktop Pro → Podman
159. Datadog → Grafana
160. New Relic → Grafana
161. Sentry → GlitchTip
162. Firebase → Supabase
163. MongoDB Atlas → Supabase
164. Vercel Pro → Cloudflare Pages
165. Netlify Pro → Cloudflare Pages
166. Heroku → Render
167. AWS → Oracle Cloud Free Tier
168. Twilio → Telnyx
169. Algolia → Meilisearch
170. Pinecone → Qdrant
171. OpenAI API → Google AI Studio
172. Claude API → Gemini API
173. WebStorm → VS Code
174. PyCharm Professional → VS Code
175. DataGrip → DBeaver
176. IntelliJ IDEA Ultimate → Eclipse
177. Rider → Visual Studio Community
178. Visual Studio Professional → Eclipse
179. Sublime Text → Notepad++
180. UltraEdit → Notepad++
181. Charles Proxy → mitmproxy
182. Splunk → OpenSearch
183. Terraform Cloud → OpenTofu
184. GitHub Enterprise → Gitea
185. GitLab Premium → Gitea
186. Elasticsearch Cloud → OpenSearch
187. SendGrid → Brevo
188. Mailgun → Brevo
189. Make → n8n
190. PagerDuty → Grafana OnCall

DATA + ENGINEERING + PROFESSIONAL

191. MATLAB → GNU Octave
192. Mathematica → SageMath
193. SPSS → PSPP
194. Stata → Gretl
195. Tableau → Apache Superset
196. Power BI Pro → Looker Studio
197. Qlik Sense → Metabase
198. Alteryx → KNIME
199. Minitab → Jamovi
200. ArcGIS → QGIS
201. SolidWorks → FreeCAD
202. SketchUp Pro → Blender
203. Revit → FreeCAD
204. Fusion 360 → FreeCAD
205. Rhino 3D → Blender
206. MATLAB Simulink → Scilab Xcos
207. LabVIEW → GNU Radio
208. COMSOL → OpenFOAM
209. ANSYS → OpenFOAM
210. Wolfram Alpha Pro → GeoGebra
211. QuarkXPress → Scribus
212. Microsoft Project → ProjectLibre
213. Microsoft Visio → diagrams net
214. Tableau → Metabase
215. Power BI Pro → Apache Superset

MORE FREE ALTERNATIVES

216. Adobe Premiere Pro → Kdenlive
217. After Effects → Natron
218. Final Cut Pro → Kdenlive
219. Adobe Acrobat Pro → PDF24
220. Adobe Express Premium → VistaCreate
221. Canva Pro → VistaCreate
222. Figma Pro → Lunacy
223. Sketch → Lunacy
224. Photoshop → Photopea
225. Lightroom → RawTherapee
226. Illustrator → Vectr
227. InDesign → Scribus
228. Pro Tools → Cakewalk
229. Ableton Live → Cakewalk
230. ScreenFlow → OBS Studio
231. Loom Business → ScreenPal
232. Slack Pro → Mattermost
233. Zoom Pro → Jitsi Meet
234. Discord Nitro → Telegram
235. 1Password → KeePassXC
236. LastPass Premium → KeePassXC
237. Evernote → Standard Notes
238. Todoist Pro → Super Productivity
239. Notion → Anytype
240. Airtable → NocoDB
241. Jira → OpenProject
242. Monday com → OpenProject
243. Calendly → ZCal
244. Typeform → Tally
245. Mailchimp → MailerLite
246. Hootsuite → Publer
247. Sprout Social → Buffer
248. HubSpot → Bitrix24
249. Adobe Stock → Pixabay
250. Shutterstock → Pexels
251. Envato Elements → Pixabay
252. Freepik Premium → Pixabay
253. Epidemic Sound → Free Music Archive
254. Artlist → Pixabay Music
255. Dropbox → Proton Drive
256. Google Drive Storage → MEGA
257. NordVPN → Windscribe
258. ExpressVPN → Proton VPN
259. TeamViewer → RustDesk
260. AnyDesk → Chrome Remote Desktop
261. AutoCAD → LibreCAD
262. SolidWorks → SolveSpace
263. MATLAB → Scilab
264. SPSS → Jamovi
265. Tableau → Metabase
266. Power BI Pro → Metabase
267. ArcGIS → QGIS
268. WebStorm → VSCodium
269. PyCharm Professional → VSCodium
270. DataGrip → Beekeeper Studio
271. Postman Pro → Bruno
272. Docker Desktop Pro → Rancher Desktop
273. Datadog → Prometheus
274. New Relic → OpenTelemetry
275. Sentry → Highlight io
276. Firebase → Appwrite
277. MongoDB Atlas → Neon
278. Vercel Pro → GitHub Pages
279. Netlify Pro → GitHub Pages
280. Algolia → Typesense
281. Pinecone → Weaviate
282. Elasticsearch Cloud → OpenSearch
283. GitHub Copilot → Continue
284. Cursor Pro → VS Code + Continue
285. Zapier → n8n
286. Miro → Excalidraw
287. Trello Premium → Taiga
288. Asana Premium → Taiga
289. Adobe XD → Penpot
290. ProtoPie → Penpot
291. Zeplin → Storybook
292. Adobe Audition → Ocenaudio
293. Camtasia → ShareX + OBS Studio
294. Microsoft 365 → ONLYOFFICE
295. Google Workspace → ONLYOFFICE
296. Adobe Acrobat Pro → Stirling PDF
297. Microsoft Visio → yEd
298. Microsoft Project → GanttProject
299. QuickBooks → GnuCash
300. Xero → GnuCash

300 PAID TOOLS.
300 FREE ALTERNATIVES.

Stop paying for subscriptions when free options exist.

Bookmark this.
Check it before you buy your next tool.

[Mert Metin Tekdemir @mertmetindev]

Bir Kere Girince Saatlerce Çıkamayacağınız 50 Site

1.) 'https://t.co/FDTmt38jKw' — Dünyayı canlı uydu görüntüsüyle izleme
2.) 'https://t.co/Tytazsp6y2' — Şu an gökyüzündeki her uçağı görme
3.) 'https://t.co/b8trMj1vUi' — Denizdeki tüm gemileri anlık takip
4.) 'https://t.co/EYzDYh0BqF' — Rüzgar ve fırtınaların canlı haritası
5.) 'https://t.co/tJHTnBvUBe' — Dünyaya düşen yıldırımları anlık izleme
6.) 'https://t.co/ePbstmUfab' — Son depremlerin canlı listesi
7.) 'https://t.co/G7cSydNKiO' — İnterneti taşıyan okyanus kabloları
8.) 'https://t.co/3KOx1uP05V' — Ormanların yok oluşunu uydudan izleme
9.) 'https://t.co/BjXxDVBtur' — Dünyanın istatistikleri saniye saniye
10.) 'https://t.co/cO1EjkMwuG' — Şu an atılan tweet ve arama sayısı
11.) 'https://t.co/ciADXU3PhE' — Ülkelerin gerçek boyutlarını karşılaştırma
12.) 'https://t.co/LO6JWd0BlG' — Yüzyıllar öncesinin haritaları
13.) 'https://t.co/EEUvFXzGao' — 150 bin tarihi harita arşivi
14.) 'https://t.co/yK72tIFetv' — Gönüllülerin çizdiği dünya haritası
15.) 'https://t.co/QfXLWflDxA' — Rastgele birinin penceresinden dünyaya bakma
16.) 'https://t.co/ESMrPd5w78' — Şehirlerde sanal yürüyüş
17.) 'https://t.co/pRBm3f1ANH' — Dünyanın rastgele bir noktasına ışınlanma
18.) 'https://t.co/8JaKk4HmQi' — Dünyanın en tuhaf yerlerinin kataloğu
19.) 'https://t.co/qwJXW2a6zm' — Etkileşimli bilgi deneyimleri
20.) 'https://t.co/Sp9uLE2QOu' — Atomdan evrene ölçek yolculuğu
21.) 'https://t.co/2FitQ7k3ZI' — Güneş sistemini 3B gezme
22.) 'https://t.co/KH9VyPhaoW' — Tarayıcıda gerçek gökyüzü haritası
23.) 'https://t.co/JBLDnae59F' — NASA'nın günün astronomi fotoğrafı
24.) 'https://t.co/HuFaH5Zc2g' — NASA'nın tüm görsel arşivi ücretsiz
25.) 'https://t.co/T3QWBtfYKB' — Veriyle anlatılan görsel makaleler
26.) 'https://t.co/isIkHYtRCm' — Dünyanın gerçek verilerle hali
27.) 'https://t.co/NJ7TdwwdbA' — Dünya hakkındaki yanlış bildiklerimiz
28.) 'https://t.co/vmkn87BBGW' — Karmaşık veriyi görselleştirme
29.) 'https://t.co/eHqySW1EGw' — Dünya Bankası'nın açık verileri
30.) 'https://t.co/av0bjbISF2' — Türkiye'nin resmi istatistik veritabanı
31.) 'https://t.co/l3Mb5x5KkS' — Milyonlarca kitap, film ve yazılım arşivi
32.) 'https://t.co/B6NDL6Bxri' — Telifi düşmüş 70 bin ücretsiz kitap
33.) 'https://t.co/no8SFuA27T' — Dünyanın her kitabının kaydı
34.) 'https://t.co/I1TMHDw3qI' — ABD Kongre Kütüphanesi dijital arşivi
35.) 'https://t.co/yxkHTsqFnH' — Avrupa'nın kültürel miras arşivi
36.) 'https://t.co/wMcjgRaBht' — Amerika'nın dijital kütüphane koleksiyonu
37.) 'https://t.co/8MpQHB3zrG' — Müzeleri evden gezme
38.) 'https://t.co/i3Vt53wDvA' — Sanat eserlerini yüksek çözünürlükte indirme
39.) 'https://t.co/5ei05nWSvS' — 250 bin sanat eserinin arşivi
40.) 'https://t.co/2SpGcVKFiD' — Tarihin unutulmuş görsel hazineleri
41.) 'https://t.co/sSdBoLWEvB' — Ücretsiz kültür ve eğitim arşivi
42.) 'https://t.co/UyUZxtlbfh' — Met Müzesi'nin açık koleksiyonu
43.) 'https://t.co/23cxfWRaNy' — Müzik türlerinin soy ağacı
44.) 'https://t.co/gMDy3tUEMT' — Ülke ve on yıl seçip o dönemi dinleme
45.) 'https://t.co/WrXSWim8jr' — Wikipedia düzenlemelerini sese çevirme
46.) 'https://t.co/IcRIPgCDAS' — Rastgele bilgi kuyusu
47.) 'https://t.co/WoE9MNJ5PU' — Zaman, gündoğumu ve gökyüzü olayları
48.) 'https://t.co/VrkUoUal3M' — Bilim haberlerinin güncel akışı
49.) 'https://t.co/4Nwok7W5wn' — Bilimsel makalelerin ücretsiz ön baskıları
50.) 'https://t.co/DqmPFeYnrl' — Veriyi canlı kodla görselleştirme

İnternet, algoritmanın önünüze koyduğu o beş siteden ibaret değil.

[周览资源 @grgerwcwetwet]

不想花钱，又想看书、追剧、听歌？这 15 个资源站可以先存着。

📚 电子书

1. Z-Library：https://t.co/bnNNJ14ewK —— 综合电子书搜索
2. WeLib：https://t.co/02IoRhZXtc —— 图书、教材、学术资料
3. Anna’s Archive：https://t.co/PPYvY98Bpj —— 图书与论文搜索
4. 苦瓜书盘：https://t.co/QEdLWNDmKc —— PDF、MOBI 电子书
5. 电子书宝库：https://t.co/Pf7bMxhgR4 —— GitHub 开源书单合集

🎬 影视

6. 在线之家：https://t.co/TcxcGlv5wf —— 电影、美剧在线观看
7. 泥视频：https://t.co/OCdbQrHyFy —— 电影、剧集、综艺、动漫
8. 发现 TV：https://t.co/1c5ILmGFJt —— 在线电影、电视剧
9. Libvio：https://t.co/sRUFf8Hzsp —— 海外剧、电影资源
10. 不想看片：https://t.co/OXEuFFpylX —— 影视搜索与多种资源入口

🎵 音乐

11. 泡椒音乐：https://t.co/4NFLW4JAmt —— 在线音乐搜索与下载
12. 1Music：https://t.co/dWneU4LH3j —— 高品质音乐资源
13. music-dl：https://t.co/eePOj8eKyX —— 多平台音乐搜索
14. FLAC Downloader：https://t.co/QxpIB69GFl —— FLAC 无损音乐
15. GD 音乐台：https://t.co/wxMdKzrVu0 —— 多平台音乐搜索与下载

[Dr. Santiago Blanco Rey, MD, MSc @SantiBlancoRey]

🔎 ¿Una piedra en el colédoco siempre exige CPRE? En ≥76 años con coledocolitiasis no complicada, una gran emulación de ensayo no halló beneficio con CPRE precoz frente a observación. Decidir según contexto, no por rutina. https://t.co/mwIAtQETEB

[The Practicing Endoscopist @theendoscopist]

Upper gastrointestinal (GI) endoscopy or esophagogastroduodenoscopy (EGD) continues to be an extremely useful diagnostic tool for perspicuous macroscopic findings.

Read the full case: https://t.co/5eVmHstTvj

[Aleksandar Gavric @GavricAle]

Endoscopic ampullectomy: step-by-step guide for a 16mm ampullary adenoma with LGD.

https://t.co/MZNYQeldiV

[Achintya Singh, MD @AchintyaSinghMD]

Classification systems are hard to remember.

JNET remember one branching point:
👉 Can you see vessels?

❌ No → Type 1
✅ Yes:
• Organized → Type 2A
• Disorganized → Type 2B
• Destroyed/amorphous → Type 3

Think of vessels like threads in a wool ball

That's 90% of JNET.

[Keith Siau @drkeithsiau]

Endoscopic assessment of Barrett’s Oesophagus

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

Recordamos la regla 3-6-9 para los diámetros intestinales, más allá del cual existe riesgo de perforación 🚨
-Intestino delgado: < 3 cm
-Intestino grueso: < 6 cm
-Ciego: < 9 cm

[Alarmed @Alarmeddd]

Reviewing IBS from @UWorld

Once diagnosed, typical management includes:
🟢 IBS-C: Soluble fiber (psyllium), osmotic laxatives (PEG), or secretory agents (linaclotide, lubiprostone).

🟢 IBS-D: Anti-diarrheals (loperamide), antispasmodics (dicyclomine), TCAs, or rifaximin.

[Dr. Santiago Blanco Rey, MD, MSc @SantiBlancoRey]

¿Cómo y con qué cerrar una perforación, fuga o fístula digestiva? 🧐

La ASGE actualiza su revisión sobre dispositivos de cierre endoscópico en GIE. Un documento clave que abarca desde clips TTS y OTSC hasta sutura endoscópica.

Lectura obligada 👇

🔗 https://t.co/l0epZL8You

[EUS & ERCP Master @GIscope_updates]

🔥 SOCCER ⚽️ trial
demonstrates that forceps-assisted cannulation improves cannulation success rate and likely reduces the incidence of difficult cannulation.

✅ https://t.co/M9qw28ulrg

[CardioMotorizado @EmergPOCUS]

📊 Valores Normales en #Ecografía Abdominal

🔻Guía rápida 👇

Un chuletazo que vale oro para la guardia

🫀 #Aorta
•Porción craneal: < 25 mm
•Porción caudal: < 20 mm

🟦 Vena cava inferior
•Diámetro: < 20 mm

🩸 Vena porta
•Diámetro: < 13 mm

🟤 Hígado
•Longitud: 120–140 mm
•Transversal: 120–130 mm
•Corte longitudinal: ángulo izquierdo < 30°, derecho < 45°

🟢 Vesícula biliar
•Pared: < 4 mm
•Longitud: < 120 mm
•Diámetro transversal: < 40 mm

🟩 Vías biliares
•Colédoco: ≤ 6 mm

🟡 Páncreas
•Cabeza: < 30 mm
•Cuerpo: < 25 mm
•Cola: < 25 mm
•Conducto pancreático: < 2 mm

🟦 Bazo
•Longitud: < 110 mm
•Espesor: < 40 mm

🟤 Riñones
•Longitud: 100–120 mm
•Ancho: 50–70 mm
•Parénquima: 13–25 mm

🟣 Próstata
•Longitudinal: < 35 mm
•Transversal: < 45 mm anteroposterior: < 35 mm
•Volumen: < 25 mL

🙂‍↕️ Si te ha gustado este Chuletazo 📝, ¡no dudes en darle #Like 👍🏽, #Retweet ♻️, o #Follow ➕🚶🏽‍♂️! Así sé que me leen personas reales 🧑🏽‍⚕️👨🏽‍⚕️, y no solo los bots 🤖. Recuerda que esto solo es un miniresumen 📄✨; te recomiendo leer el libro abajo lo pongo 📖

#Ecografía #POCUS #Urgencias
#UltrasonidoAbdominal

[Gastroenterology & Endoscopy News @gastroendonews]

More than half of endoscopists will experience an ergonomic injury during their career.
New guidance from ASGE takes on a problem many still don’t talk about👇
https://t.co/54uxUSKfep #endoscopy

[AJG - The American Journal of Gastroenterology @AmJGastro]

Performing Endoscopy Safely in Pregnant Patients: Best Practices for the Gastroenterology Team
Lim, et al.

📕 https://t.co/HBDuIsu3tC

@Fai5alAli @ErinCiampa @tberzin @MLongMD @JasmohanBajaj

[Santiago Oquendo MD @rksanti]

🩺💊Dispepsia funcional: entidad no puramente “funcional”. La evidencia muestra microinflamación gastroduodenal con respuesta inmune Th2 aberrante, activación de eosinófilos y mastocitos, alteración de la barrera epitelial y disfunción del eje intestino-cerebro, generando hipersensibilidad gástrica, alteración de la acomodación y, en algunos casos, retardo del vaciamiento gástrico.
💊Manejo: no existe fármaco aprobado; tratamiento empírico y dirigido a síntomas con IBP o H2, tricíclicos a baja dosis como primera línea para dolor, y neuromoduladores (mirtazapina, pregabalina) según fenotipo clínico. En subgrupos con perfil inflamatorio, posibles estrategias inmunomoduladoras (evidencia limitada), siempre con apoyo nutricional y psicológico.
📚N Engl J doi:10.1056/NEJMcp2501860
💊Descarga aqui y Únete: https://t.co/WltpkxKleS

[La chuleta de Osler 🇵🇪🇵🇸 @chuletadeosler]

Infeccion por
Helicobacter pylori
en adultos.

1. Shah SC, Approach to the diagnosis of Helicobacter pylori infection in adults. UpToDate [Internet].
2. Shah SC, Helicobacter pylori: Epidemiology, pathophysiology, and overview of disease associations. UpToDate [Internet]. 2025